Department of Physiotherapy, Middle East University, Airport Road 1666, Amman, Jordan.
Applied Science Research Center, Applied Science Private University, Amman, Jordan.
Eur Arch Otorhinolaryngol. 2024 Aug;281(8):3985-3999. doi: 10.1007/s00405-024-08586-0. Epub 2024 Mar 26.
This review aimed to examine the effects of the Semont maneuver on posterior canal benign paroxysmal positional vertigo (BPPV).
PubMed, PEDro, SCOPUS, REHABDATA, EMBASE, and Web of Science were searched comprehensively from inception to January 2024. The Physiotherapy Evidence Database (PEDro) scale was employed to evaluate the quality of the selected studies.
In total, 18 randomized controlled trials met the eligibility criteria. A total of 2237 participants with BPPV (mean age = 58.10 years) were included in this review. Among them, 37.5% were males, and 58% presented with right-sided BPPV. The included studies ranked from 5 to 9 out of 10 (Median = 7), suggesting good to excellent quality on the PEDro scale. The available literature revealed that the Semont maneuver is effective in improving posterior canal BPPV symptoms.
The Semont maneuver is considered a standard option for treating posterior canal BPPV, with a high success rate of around 80%. It is suggested as the primary option for managing posterior canal BPPV in individuals who complain of cervical or lumbar problems, severe cardiac or respiratory conditions. Further studies are strongly needed to understand the long-term effects of the Semont maneuver and to identify the recurrence rate.
本综述旨在探讨 Semont 手法对后半规管良性阵发性位置性眩晕（BPPV）的疗效。
我们全面检索了 PubMed、PEDro、SCOPUS、REHABDATA、EMBASE 和 Web of Science 数据库，检索时限从建库至 2024 年 1 月。我们采用 Physiotherapy Evidence Database（PEDro）量表评估纳入研究的质量。
共有 18 项随机对照试验符合纳入标准。本综述共纳入 2237 例 BPPV 患者（平均年龄=58.10 岁），其中 37.5%为男性，58%为右侧 BPPV。纳入研究的 PEDro 量表评分中位数为 7 分（范围为 5 分至 10 分），提示研究质量为良好至优秀。现有文献表明，Semont 手法可有效改善后半规管 BPPV 症状。
Semont 手法被认为是治疗后半规管 BPPV 的标准选择，成功率约为 80%。对于有颈椎或腰椎问题、严重心脏或呼吸系统疾病的患者，建议将 Semont 手法作为首选治疗方案。需要进一步研究以了解 Semont 手法的长期效果并确定其复发率。
